| NPI | 1063030898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN D WRONKO Owner 201-906-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-08-05 |